maphunziro a ubongo

Maphunziro a Neurological on Porn Use

Asayansi akhala akugwiritsa ntchito mapulogalamu a ubongo pofuna kuyang'ana zotsatira za zolaula pogwiritsa ntchito zipangizo kuphatikizapo fMRI, MRI ndi EEG. Iwo apanganso maphunziro a neuro-endocrine ndi maphunziro a neuro-pyschological. Tsamba ili lasinthidwa kuchokera Amanda.biz. Chonde pitani Amanda.biz ngati mukufuna kudziwa zambiri zakuya kafukufuku wam'tsogolo ku zotsatira za zolaula zimagwiritsidwa ntchito.

Maphunziro a m'magazi m'munsiyi ali ndi magawo awiri. Choyamba ndi ubongo wokhudzana ndi mowa umasintha iliyonse. Pansi pazomwe maphunziro omwewo adatchulidwa ndi tsiku lofalitsidwa, ndi ndemanga ndi ndondomeko.

Lists ndi kusintha kwa ubongo kusintha: Maubongo anayi akuluakulu omwe amayamba chifukwa cha kuledzera amafotokozedwa George F. Koob ndi Nora D. Volkow muzokambirana zawo zochititsa chidwi. Koob ndiye Mtsogoleri wa National Institute on Alcohol Abuse and Alcohol (NIAAA), ndipo Volkow ndiye mtsogoleri wa National Institute on Abuse (NIDA). Linatulutsidwa mu New England Journal of Medicine: Kupititsa patsogolo kwa Neurobiologic Kuchokera ku ubongo wa ubongo Mtundu wa Zovuta (2016). Papepalali limalongosola kusintha kwakukulu kwa ubongo komwe kumachitika ndi mankhwala osokoneza bongo ndi makhalidwe, pamene akunena ndime yoyamba kuti kugonana kulipo:

"Timaganiza kuti sayansi ya ubongo imapitirizabe kuchirikiza matenda a ubongo. Kafukufuku wa sayansi m'dera lino sikuti amapereka mwayi watsopano wopewa ndi mankhwala oledzeretsa ndi zoledzera zokhudzana ndi khalidwe (mwachitsanzo, ku chakudya, kugonana, ndi njuga) .... "

Pepala la Volkow & Koob lidalongosola kusintha kwa zinthu zinayi zomwe zimayambitsa kusintha kwaubongo, zomwe ndi: 1) Kusintha, 2) Kusintha, 3) Maulendo osayenerera operewera (chinyengo), 4) Kusokonezeka maganizo. Zonse za 4 za kusintha kwa ubongozi zapezeka pakati pa maphunziro ambiri a ubongo olembedwa patsamba lino:

  • Zofufuza zapoti kulimbikitsa (cue-reactivity & cravings) mwa ogwiritsa ntchito zolaula / osokoneza bongo: 1, 2, 3, 45, 6, 7, 89101112131415161718192021.
  • Zofufuza zapoti kuchotsa chilakolako kapena chizoloŵezi (chomwe chimapangitsa kulekerera) owonetsa zithunzi zolaula / ozunguza kugonana: 1, 23456.
  • Kafukufuku wofotokoza za kusauka kogwira ntchito (chinyengo) kapena kusinthidwa ntchito yoyendetsa zolaula m'magwiritsa ntchito zolaula / ogonana ndi anthu ogonana: 1, 23, 4, 567891011121314.
  • Zofufuza zosonyeza a matenda osayenerera owonetsa zithunzi zolaula / ogonana: 123.

Lists ndi tsiku lofalitsidwa: Mndandanda wotsatira uli ndi maphunziro onse a ubongo omwe amafalitsidwa pa ogwiritsa ntchito zolaula komanso oledzera. Phunziro lililonse lili pansipa likuphatikizidwa ndi ndondomeko kapena excerpt, ndipo limasonyeza kuti kusintha kwa ubongo wa 4 yokhudzana ndi chiwerewere kunangokambirana zomwe zapeza zikuvomereza:

1) Kafukufuku Woyamba wa Makhalidwe Omwe Amachita Zachiwerewere (Impulsive and Neuroanatomical)Miner et al., 2009) 

[maseketi osagwira ntchito oyang'anira / oyang'anira osauka] - Kafukufuku wa fMRI wokhudza makamaka omwe amagonedwa. Kafukufuku amafotokoza zamakhalidwe osakakamira pantchito ya Go-NoGo mwa anthu ogonana (ma hypersexourse) poyerekeza ndi omwe akutenga nawo mbali. Zofufuza zamaubongo zidawulula kuti anthu omwe amakonda kugwiritsa ntchito mankhwala osokoneza bongo sanasokoneze zoyera zam'mbali poyerekeza ndi zowongolera. Zolemba:

Kuphatikiza pazimenezo zokhudzana ndi ndondomeko zomwe zili pamwambapa, odwala a CSB anasonyezanso chidwi kwambiri pa ntchito yamakhalidwe, ndondomeko ya Go-No Go.

Zotsatira zimasonyezanso kuti odwala a CSB amasonyeza kuti apamwamba kwambiri kuposa dera lonselo amatanthauza kusiyana (MD) kuposa malamulo. Kuwonana kwa mgwirizano kunawonetsera mgwirizano wofunikira pakati pa zochitika zotsutsana ndi chikhalidwe cha m'madera ochepa omwe ali m'madera ozungulira omwe ali ndi kachilombo koyambitsa matenda (FA) ndi MD, koma palibe mabungwe omwe ali ndi magawo akuluakulu omwe akuyendera. Kuwonanso komweko kunasonyeza kusagwirizana kwakukulu pakati pa MD ndi mkulu wa zochitika za kugonana.

2) Kusiyanitsa kwadzidzidzi pazitsatila za machitidwe akuluakulu ndi khalidwe lachiwerewere muzitsanzo za odwala komanso zamtundu wa amuna (Reid et al., 2010) 
[ntchito yayikulu yosauka] - Chidule:

Odwala omwe amafunafuna chithandizo chamakhalidwe ogonana amuna kapena akazi okhaokha nthawi zambiri amawonetsa kukhudzidwa, kusakhazikika, kuzindikira moperewera, kuchepa kwamalamulo am'maganizo, komanso kutanganidwa kwambiri ndi kugonana. Zina mwazinthuzi ndizofala pakati pa odwala omwe ali ndi vuto la mitsempha lomwe limakhudzana ndi kutha kwa ntchito. Izi zidapangitsa kuti pakufufuzidwe pakadali pano kusiyana pakati pa gulu la odwala matenda opatsirana pogonana (n = 87) ndi anthu omwe si amuna kapena akazi okhaokha (n = 92) azimuna omwe amagwiritsa ntchito Behaeve Rating Inventory of Executive Function-Adult Version Khalidwe logonana amuna kapena akazi okhaokha linali logwirizana ndi ma indices apadziko lonse lapansi osagwira bwino ntchito komanso zolipira zingapo za BRIEF-A. Zotsatira izi zimapereka umboni woyamba wotsimikizira kuti kusokonekera kwa akuluakulu kumatha kukhala ndi vuto lachiwerewere.

3) Kuwonera Zithunzi Zolaula pa intaneti: Udindo wa Kugonana Kwachiwerewere ndi Maganizo a Paganizo - Maganizo a Psychiatric kwa Kugwiritsa Ntchito Intaneti Pogonana Kwambiri (Brand et al., 2011) 
[zikhumbo zazikulu / zolimbikitsa ndi ntchito zosauka kwambiri] - An excerpt:

Zotsatira zimasonyeza kuti mavuto omwe amadziwika pa moyo wa tsiku ndi tsiku ogwirizanitsidwa ndi zochitika zogonana pa intaneti amanenedweratu ndi zochitika zokhudzana ndi kugonana zokhudzana ndi kugonana, chiwonongeko chachikulu cha zizindikiro zamaganizo, ndi chiwerengero cha kugonana komwe amagwiritsidwa ntchito pokhala pa Intaneti pa malo ogonana, pamene nthawi yogwiritsira ntchito malo opatsirana pogonana pa intaneti (maminiti patsiku) sizinathandize kwambiri kufotokozera kusiyana kwa magawo a IATsex. Timawona zofanana pakati pa njira zamaganizo ndi ubongo zimene zingathandize kuti zisamalire pa Intaneti komanso zomwe zimafotokozedwa kwa anthu omwe ali ndi chidaliro chodalira.

4) Zithunzi Zojambula Zithunzi Zogwiritsira Ntchito Zojambula ndi Ntchito Yoyang'ana Kumbukirani (Laier et al., 2013) 
[zikhumbo zazikulu / zolimbikitsa ndi ntchito zosauka kwambiri] - An excerpt:

Anthu ena amafotokoza mavuto panthawi yogonana pa intaneti ndi pambuyo, monga kusowa tulo ndikuiwala mayina, omwe amakhudzidwa ndi zotsatira zoipa za moyo. Njira imodzi yomwe ingabweretse mavuto amenewa ndikuti kugonana pa nthawi yogonana pa Intaneti kungasokoneze mphamvu ya kukumbukira ntchito (WM), zomwe zimapangitsa kuti kunyalanyaza zinthu zowonongeka kwazomwe zimapangidwira zachilengedwe komanso kusokoneza chisankho. Zotsatira zinawonetsa zovuta kwambiri za WM kuchithunzi cha zithunzi zolaula za ntchito ya 4-kumbuyo poyerekeza ndi zinthu zitatu zotsalira. Zakafukufuku zafotokozedwa potsata kuledzera kwa intaneti chifukwa chakuti kulephera kwa WM ndi zida zokhudzana ndi chizoloŵezi cha mankhwala oledzeretsa zimadziwika bwino kuchokera kuzinthu zowonongeka.

5) Zokambirana Zogonana Zogonana Ndizochita Zopanga Zopanda Pake (Laier et al., 2013) 
[zikhumbo zazikulu / zolimbikitsa ndi ntchito zosauka kwambiri] - An excerpt:

Kuchita zisankho kunali koipa kwambiri pamene zithunzi zachiwerewere zimagwiridwa ndi mapepala osokoneza mapepala poyerekeza ndi zomwe zimachitika pamene zithunzi zogonana zogwirizana ndi zopindulitsa. Kugonjera kugonana kwachangu kunayambitsa mgwirizano pakati pa chikhalidwe cha ntchito ndi kupanga kupanga chisankho. Phunziroli likugogomezera kuti kukakamiza kugonana kumasokoneza kupanga chisankho, chomwe chikhoza kufotokoza chifukwa chake anthu ena amakumana ndi zotsatira zoipa pa nkhani yogwiritsira ntchito pa Intaneti.

6) Kugonana kwa pa Intaneti: Kugonana kwachidziwitso pamene mukuwonera zolaula osati zogonana zenizeni zimapangitsa kusiyana (Laier et al., 2013) 
[zikhumbo zazikulu / zolimbikitsa ndi ntchito zosauka kwambiri] - An excerpt:

Zotsatira zimasonyeza kuti zizindikiro zogonana zimadzuka ndikulakalaka zolaula pa Intaneti zowonongeka zokhudzana ndi kugonana kwa pa Intaneti pa phunziro loyamba. Komanso, zinasonyezedwa kuti ogwiritsa ntchito mauthenga a pa Intaneti ogwiritsa ntchito mauthenga ogonana amavomereza kuti akugonana kwambiri komanso akulakalaka zomwe zimachitika chifukwa cha zolaula. Mu maphunziro onsewa, chiwerengero ndi khalidwe ndi zokhudzana ndi kugonana kwenikweni zamoyo sizinayanjanitsidwe ndi chizoloŵezi cha kugonana pa Intaneti. Zotsatirazi zimapereka chithunzithunzi chokhutiritsa, chomwe chimayambitsa kulimbikitsa, kuphunzira njira, ndikukhumba kukhala njira yoyenera pakukula ndi kukonzanso kuledzera kwa cybersex. Osauka kapena osakhutiritsa zokhudzana ndi zogonana zokhudzana ndi kugonana sangathe kufotokoza mokwanira za kugonana kwa pa Intaneti.

[Wamkulu cue-reactivity chilamulira chikhalidwe ndi chilakolako zochepa kugonana: zina ndi habituation] - Kafukufuku ameneyu akugwirira anali touted m'ma TV monga umboni wotsutsa kuwonetsa zolaula / kugonana. Osati chonchoSteele et al. 2013 kwenikweni imapereka chithandizo kuti pakhale zochitika zolaula ndi zolaula zimagwiritsa ntchito malamulo oletsa kugonana. Mwanjira yanji? Phunzirolo linalemba mawerengedwe apamwamba a EEG (zosiyana ndi zithunzi zosaloŵerera) pamene nkhanizo zinkawonekera mwachidule ku zithunzi zolaula. Kafukufuku amasonyeza kuti P300 yakwatukuka imachitika pamene anthu oledzeredwa amadziwika ndi zizindikiro (monga mafano) okhudzana ndi chizoloŵezi chawo.

Mogwirizana ndi Ubongo wa University of Cambridge umaphunzirira maphunziro, phunziroli la EEG linanenanso kuti pali zovuta zowonjezereka ku zolaula zomwe zimagwirizana ndi zofuna za kugonana pakati pawo. Kufotokozera njira ina - anthu omwe ali ndi ubongo wambiri kuti azichita zolaula amangochita zolaula kuposa kugonana ndi munthu weniweni. Chodabwitsa, woyankhulana Chithunzi cha Nicole adanena kuti anthu ogwiritsa ntchito zolaula amangokhala ndi "libido," komabe zotsatira za phunzirolo zimati zosiyana kwambiri (chilakolako cha phunziro la kugonana pakati pa amuna ndi akazi chinawonongeka poyerekezera ndi zolaula zawo).

Onse awiriwa Steele et al. Zomwe zimachitika zimasonyeza ubongo wambiri zomwe zimagwira ntchito (zojambula zolaula), komabe zochepa zowonjezereka zowonjezera madalitso achilengedwe (kugonana ndi munthu). Zonsezi ndi zizindikiro za mowa. Mapepala asanu ndi limodzi omwe amaonedwa ndi anzawo akulongosola zoona: 123456. Onaninso izi YBOP yochuluka imatsutsa.

Kupatula pazinthu zambiri zomwe sizinagwirizane muzofalitsa, zikudodometsa kuti phunziro la Prause la 2013 EGG lapititsa ndondomeko ya anzawo, monga momwe anavutikira ndi zolakwika zolakwika: 1) maphunziro osagwirizana (amuna, akazi, osagonana amuna kapena akazi okhaokha); Zithunzi za 2) zinali osayang'aniridwa ndi matenda kapena matenda oledzera; Kuphunzira kwa 3) kunali palibe gulu lolamulira poyerekezera; Mayankho a 4) anali zosagwiritsidwa ntchito pa zolaula kapena zolaula.

8) Maonekedwe a Ubongo ndi Kuyanjana Mogwira Ntchito Ophatikizana ndi Zithunzi Zolaula Ntchito: Ubongo pa Porn (Kuhn & Gallinat, 2014) 
[kukhumudwitsa, chizolowezi, komanso magwiridwe antchito am'mbali]. Kafukufukuyu wa Max Planck Institute fMRI adalemba zotsatira za 3 zamaubongo zomwe zikugwirizana ndi kuchuluka kwa kugwiritsira ntchito zolaula: (1) yocheperako mphotho ya imvi (dorsal striatum), (2) yocheperako mphotho poyang'ana pang'onopang'ono zithunzi zachiwerewere, (3) ntchito yolumikizana yosauka pakati pa dorsal striatum ndi dorsolateral pre mbeleal cortex. Ofufuzawo adamasulira zomwe zapezedwa ngati 3 monga chisonyezo cha kuwonetsedwa kwakanthawi kolaula. Anati phunzirolo,

Izi zikugwirizana ndi malingaliro akuti kukonda kwambiri zolaula kumabweretsa zotsatira zowonongeka kwa chikhalidwe cha chikhalidwe chachisanu ndi chiwonongeko chokhudzana ndi kugonana.

Ponena za kuwonetseratu kosauka pakati pa PFC ndi striatum phunzirolo linati,

Kulephera kwa oyendetsa mabungwewa kwagwirizana ndi zosayenera zosankha, monga kufunafuna mankhwala, mosasamala kanthu za zotsatira zake zoipa

Mlembi wamkulu Simone Kühn akukamba nkhani ya Max Planck:

Timaganiza kuti maphunziro omwe ali ndi zithunzi zolaula amafuna kuwonjezereka kuti alandire mphotho yomweyo. Izi zikutanthauza kuti kuonera zolaula nthawi zonse kumatulutsa mphoto yanu. Izi zikanakwanira mwangwiro lingaliro lakuti machitidwe awo opindula amayenera kukulirakulira.

9) Neural Correlates of Reactivity Cac Reactivity Mwa Anthu omwe ali ndi popanda popanda chilakolako chogonana (Voon et al., 2014) 
[sensitization / cue-reactivity and desensitization] Woyamba pamndandanda wamaphunziro a University of Cambridge adapeza machitidwe omwewo muzochita zolaula (CSB) monga momwe amawonera anthu omwe amamwa mankhwala osokoneza bongo komanso zidakwa - chidziwitso chachikulu kapena kuyambitsa chidwi. Mtsogoleri wofufuza Valerie Voon Adati:

Pali kusiyana pakati pa ubongo pakati pa odwala omwe ali ndi chilakolako chogonana komanso odzipereka. Kusiyana kumeneku kumaphatikizapo zomwe zidakali mankhwala osokoneza bongo.

Voon et al., 2014 inapezanso kuti zolaula zimagwirizana chitsanzo chololedwa kufuna "izo" mochuluka, koma osakondanso "izo" panonso. Chidule:

Poyerekeza ndi odzipereka omwe ali ndi thanzi labwino, maphunziro a CSB anali ndi chilakolako chachikulu chogonana kapena akufuna kufotokozera momveka bwino ndipo anali ndi chidwi chochuluka kwambiri pazinthu zowonongeka, motero kusonyeza kusiyana pakati pa kufuna ndi kukonda

Ofufuzawo anafotokoza kuti 60% ya maphunziro (okalamba a zaka: 25) anali ndi vuto pochita zinthu zowonongeka / kukwatira ndi enieni, koma akhoza kukwaniritsa zolaula. Izi zimasonyeza kuwalimbikitsa kapena kuzoloŵera. Zolemba:

Masewera a CSB adanenedwa kuti chifukwa cha kugwiritsira ntchito kwambiri zida zogonana ... ..wadziwitsidwa mochedwa libido kapena erectile ntchito makamaka mu ubale weniweni ndi akazi (ngakhale osagwirizana ndi zolaula) ...

Masewera a CSB poyerekeza ndi odzipereka omwe ali ndi thanzi labwino anali ndi vuto lalikulu kwambiri ndi kugonana kwaukwati komanso kukhala ndi mavuto ochulukirapo erectile mu chibwenzi chogonana koma osati zogonana.

10) Kupititsa patsogolo zizindikiro zokhudzana ndi kugonana komwe kulipo mwa anthu omwe alibe ndi zovuta zogonana (popanda kugonana)Mechelmans et al., 2014) 
[sensitization / cue-reactivity] - Kafukufuku wachiwiri ku Cambridge University. Chidule:

Zomwe timapeza zowonjezera chidwi ... zimasonyeza kuti zingatheke kuti anthu azikhala ndi chidwi chodziwika bwino pofufuza za mankhwala osokoneza bongo. Zotsatirazi zikugwirizana ndi zomwe zachitika posachedwapa za neural reactivity kwa zilakolako za kugonana m'maseŵera ofanana ndi omwe akuphatikizidwa mu maphunziro okhudzidwa ndi mankhwala osokoneza bongo ndipo amapereka chithandizo cholimbikitsana malingaliro okhudzana ndi chizoloŵezi chogonjetsa chilakolako chogonana ku [ zolaula]. Izi zikugwirizana ndi zomwe taona posachedwapa kuti mavidiyo owonetsa zakugonana akugwirizanitsidwa ndi ntchito yaikulu mumtundu wa neural womwe umakhala wofanana ndi umene umapezeka mu maphunziro a zida zowonongeka. Chikhumbo chachikulu kapena chofuna kukonda kukonda chinayanjaniranso ndi ntchito mu neural network. Maphunzirowa pamodzi amapereka chithandizo cholimbikitsana chiphunzitso cha chizoloŵezi cha mankhwala osokoneza bongo omwe amachititsa kuti anthu asamachite zachiwerewere ku CSB.

11) Kugonana kwa pa Intaneti pogonana ndi amuna ogonana amuna kapena akazi okhaokha pa intaneti zolaula kungathe kufotokozedwa ndi kukondweretsa (Laier et al., 2014) 
[zolakalaka zazikulu / zolimbikitsa] - Chidule:

Tidasanthula azimayi 51 a IPU azimayi komanso azimayi 51 omwe si ogwiritsa ntchito zolaula (NIPU). Pogwiritsa ntchito mafunso, tinayesa kuopsa kwa chizolowezi chogonana pa intaneti, komanso momwe zimakhalira ndi chilakolako chogonana, zovuta zokhudzana ndi chiwerewere, komanso kuopsa kwa zizindikiritso zamaganizidwe. Kuphatikiza apo, paradigm yoyesera, kuphatikiza zithunzi zolaula za 100, komanso zisonyezo zakulakalaka, zidachitika. Zotsatira zikuwonetsa kuti IPU idavotera zithunzi zolaula kukhala zowutsa mtima kwambiri ndipo idati ikulakalaka kwambiri chifukwa cha zithunzi zolaula poyerekeza ndi NIPU.

Kuphatikiza apo, kulakalaka, kukopa zithunzi, kukhudzidwa ndi chilakolako chogonana, zovuta zogonana, komanso kuuma kwa zizindikilo zamaganizidwe kunaneneratu zizolowezi zakugonana pa IPU. Kukhala pachibwenzi, kuchuluka kwa omwe amagonana nawo, kukhutira ndi omwe amagonana nawo, komanso kugwiritsa ntchito njira zogonana pa intaneti sizinayanjane ndi chizolowezi chogonana pa intaneti. Zotsatirazi zikugwirizana ndi zomwe zimanenedwa za amuna kapena akazi okhaokha m'maphunziro am'mbuyomu. Zotsatira zakulimbikitsa chilimbikitso chakugonana, njira zophunzirira, komanso gawo lachitetezo cha chidwi ndikulakalaka pakukula kwa chizolowezi chogonana pa IPU kuyenera kukambidwa.

12) Umboni Wotsutsika ndi Zopeka Zokhudza Zomwe Zimayambitsa Kugonana kwa Ogonana ndi Amuna Kapena Akazi Osokonezeka Maganizo Kuchokera Kumalingaliro Olingalira Maganizo (Laier et al., 2014) 
[zolakalaka zazikulu / zolimbikitsa] - Chidule:

Chikhalidwe cha chochitika chomwe chimatchedwa kuti cyber sex (CA) ndi njira zake za chitukuko chikufotokozedwa. Ntchito yapitayi imasonyeza kuti anthu ena akhoza kukhala pachiopsezo cha CA, pomwe kulimbikitsana ndi kuyimitsa bwinoko kumaonedwa ngati njira zofunikira za chitukuko cha CA. Mu phunziro lino, amuna a amuna osakwatirana a 155 amavomereza zithunzi zolaula za 100 ndikuwonetsa kuwonjezeka kwa kugonana kwawo. Komanso, zizoloŵezi za CA, kukhudzidwa ndi chisangalalo cha kugonana, ndi kugwiritsidwa ntchito kosagonana mwachisawawa zinawerengedwa. Zotsatira za phunziroli zikusonyeza kuti pali zifukwa za chiopsezo cha CA ndi kupereka umboni wa ntchito yokhutiritsa kugonana ndi kuthana ndi vuto losavomerezeka pa chitukuko cha CA.

13) Zachilendo, Zochitika ndi Zosamala Zopindulitsa Pogonana (Banca et al., 2015) 
[zolakalaka zazikulu / zolimbikitsa komanso chizolowezi / kukhumudwitsa] - Kafukufuku wina wa Cambridge University fMRI. Poyerekeza ndi owonera zolaula amakonda zikhalidwe zogonana komanso zolaula zomwe zimakhudzana ndi zolaula. Komabe, ubongo wa zolaula umakonda kuzolowera zithunzi zachiwerewere. Popeza kukonda zachilendo sikunalipo, amakhulupirira kuti zolaula zimayambitsa kufunafuna zinthu zatsopano pofuna kuthana ndi chizolowezi komanso kutaya mtima.

Mchitidwe wogonana mwachinyengo (CSB) unkaphatikizapo kukonda kukonda zachiwerewere, poyerekeza ndi kuwonetsa zithunzi, ndi zofuna zowonongeka pazochitika zokhudzana ndi kugonana ndi ndalama zotsutsana ndi anthu odzipereka. Anthu a CSB adakhalanso ndi chizoloŵezi chofuna kubwereza zithunzi zokhudzana ndi kugonana ndi momwe ndalamazo zimakhalira ndi chizoloŵezi chokhala ndi chiyanjano chokhudzana ndi chilakolako cha kugonana. Kuyandikira makhalidwe okhudzana ndi chiwerewere kusagwirizana ndi chikhalidwe choyambirira kunagwirizanitsidwa ndi kukondera koyambirira kwa zithunzi zogonana. Kafukufukuyu akuwonetsa kuti anthu a CSB ali ndi zovuta zowonjezera zogonana zogonana zomwe zingakhale zogwirizana ndi zizoloŵezi zowonjezereka zogwirizana ndi kuwonjezereka kwa chikhalidwe chokhala ndi mphoto.

Chidule Kuchokera pazofalitsa zowonjezera:

Apeza kuti pamene anthu omwe amagwiritsidwa ntchito pa chiwerewere ankawona chifaniziro chomwecho mobwerezabwereza, poyerekeza ndi odzipereka omwe adakhala ndi kuchepa kwakukulu kwa ntchito m'madera a ubongo wodziwika kuti akugwiritsanso ntchito khungu lamtundu wina, omwe amadziwika kuti akukhudzidwa ndi kuyembekezera mphoto ndikuyankha zochitika zatsopano. Izi zimagwirizana ndi 'habituation', pomwe munthu amene amamwa mowa amapeza mphotho yofanana - mwachitsanzo, akumwa khofi akhoza kumwa khofi "kuchokera ku kapu yawo yoyamba, koma pakapita nthawi amamwa mowa kwambiri, buzz akukhala.

Chizoloŵezi chomwecho chimapezeka mwa amuna abwino omwe amawonetsedwa mobwerezabwereza kanema wolaula. Koma pamene ayang'ana kanema yatsopano, mlingo wokondweretsedwa ndi kuwukweza umabwereranso kuyambirira. Izi zikutanthawuza kuti, kupeŵa chizoloŵezi, chizolowezi chogonana chiyenera kufunafuna nthawi zonse zithunzi zatsopano. Mwa kuyankhula kwina, chizoloŵezi chikhoza kuyendetsa kufufuza kwa zithunzi zatsopano.

"Zomwe timapeza zimakhala zogwirizana kwambiri ndi zolaula pa Intaneti," akutero Dr Voon. "Sizidziwikiratu zomwe zimayambitsa chizoloŵezi chogonana pachiyambi ndipo mwina anthu ena amayamba kumwa mankhwala osokoneza bongo kusiyana ndi ena, koma kupezeka kwapadera kwa zithunzi zachiwerewere zopezeka pa intaneti kumathandizira kudwalitsa, kuzipangitsa kukhala zovuta kwambiri kuthawa. "

14) Zogonana za Neural za Chilakolako cha Kugonana Mwa Anthu Amene Ali ndi Mavuto Otsatira Maganizo (Hypersexual Conduct)Seok & Sohn, 2015) 
[cue reactivity / sensitization ndi maseketi osagwira ntchito oyambira] - Kafukufukuyu waku Korea fMRI amafanananso maphunziro ena aubongo pa ogwiritsa ntchito zolaula. Monga momwe University ya Cambridge imafufuzira idapeza zomwe zimapangitsa kuti anthu azigonana, zomwe zimafanana ndi omwe amayamba kugwiritsa ntchito mankhwala osokoneza bongo. Mogwirizana ndi maphunziro angapo aku Germany zidapeza zosintha mu preortalal cortex yomwe ikufanana ndi kusintha komwe kumachitika mwa omwe amamwa mankhwala osokoneza bongo. Chatsopano ndi chakuti zomwe zapezazi zikufanana ndi preortal preortal cortex activation yomwe imapezeka mwa omwe ali osokoneza bongo: Kukula kwakukulu-kuyambiranso zithunzi zachiwerewere komabe kumalepheretsa kuyankha kuzinthu zina zomwe sizabwino. Chidule:

Kuphunzira kwathu kunkafuna kufufuza zofuna za kugonana zokhudzana ndi kugonana ndi zithunzithunzi zokhudzana ndi maginito (fMRI). Anthu makumi awiri ndi atatu omwe ali ndi PHB ndi 22 ali ndi zaka zowonongeka zogwiritsidwa ntchito poyang'anitsitsa anayesedwa panthawi yomwe adawona zolaula zogonana ndi zachiwerewere. Zofuna za kugonana zokhudzana ndi kugonana zinayesedwa potsatira njira iliyonse yogonana. Potsutsana ndi maulamuliro, anthu omwe ali ndi PHB adzipeza nthawi zambiri ndikukwaniritsa chilakolako chogonana pakakhala zovuta zogonana. Kuwongolera kwakukulu kunkapezeka mu phokoso lochepetsetsa, loperetta loperetta, loponyedwa pansi pamtunda, thalamus, ndi dorsolateral prefrontal cortex mu gulu la PHB kusiyana ndi gulu lolamulira. Kuphatikizanso apo, njira zowonjezera zachilengedwe m'madera ochitidwawo zimasiyana pakati pa magulu. Mogwirizana ndi zofukufuku za ubongo zoganizira zochitika za khalidwe ndi chizoloŵezi cha khalidwe, anthu omwe ali ndi makhalidwe a PHB ndi chikhumbo cholimbikitsidwa chiwonetsedwanso chosinthidwa kumadera okonda mapepala ndi amtendere

15) Kusinthasintha kwa Zomwe Zidzakhala Zosangalatsa Zomwe Zitha Kuchitika Zopangira Zithunzi Zogonana mu Vuto Ogwiritsa Ntchito ndi Machitidwe Osagwirizana ndi "Kuledzera Kwambiri" (Prause et al., 2015) 
[habituation] - Kafukufuku wachiwiri wa EEG kuchokera Gulu la Nicole Prause. Phunziroli linafanizira maphunziro a 2013 kuchokera Steele et al., 2013 kwa gulu lenileni lolamulira (komabe linayesedwa ndi zolakwika zofanana zomwe zatchulidwa pamwambapa). Zotsatira: Poyerekezera ndi machitidwe "anthu omwe akukumana ndi mavuto owonetsa zolaula zawo" anali ndi ubwino wochepa wa ubongo kumbuyo kwachiwiri pa zithunzi za zolaula za vanilla. The wolemba wamkulu amanena zotsatirazi "debunk mankhwala ozunguza bongo." Kodi wasayansi wodalirika anganene kuti phunziro lawo lokha lauchidwi lapangitsa kuti malo ophunziridwa bwino?

Zoonadi, zomwe zapeza Prause et al. 2015 iyanjana bwino ndi Kühn ndi Gallinat (2014)omwe adapeza kuti zithunzi zolaula zimagwirizanitsidwa ndi zochepetsera ubongo pogwiritsa ntchito zithunzi zolaula za vanila. Prause et al. zofufuziranso zikugwirizana ndi Banca et al. 2015 lomwe liri #13 mndandanda uwu. Komanso, maphunziro ena a EEG adapeza kuti zolaula zambiri mwa amayi zimayenderana ndi zochepa zomwe zimapangitsa kuti ubongo uzichita zolaula. Kuwerenga kotsika kwa EEG kumatanthauza kuti maphunziro sanatengere chidwi ndi zithunzi. Mwachidule, ogwiritsa ntchito zolaula nthawi zambiri sanasangalale ndi zithunzi zolaula za vanila. Iwo anali otopetsa (ozolowera kapena osakhudzidwa). Onani izi YBOP yochuluka imatsutsa. Mapepala asanu ndi awiri owonetserako anzawo amavomerezana kuti phunziro ili linapezanso deensitization / habituation omwe amagwiritsa ntchito zolaula (mofanana ndi kuledzera): 1234567.

16) HPA Axis Dysregulation mwa Amuna Odwala Matenda a Hypersexual (Chatzittofis, 2015) 
[mayankho osavomerezeka] - Kafukufuku wopangidwa ndi amuna 67 omwe ali ndi vuto logonana ndikuwongolera zaka 39. Hypothalamus-Pituitary-Adrenal (HPA) axis ndiye wosewera wamkulu pakuthana ndi nkhawa. Zizolowezi kusintha kusintha kwa ubongo m'madera ozungulira zomwe zimapangitsa kuti zikhale zovuta kwambiri. Phunziroli ponena za kugwiritsira ntchito kugonana (kugonana) limapeza kusintha kwa mayankho omwe amatsutsana ndi zomwe zimachitika ndi mankhwala osokoneza bongo. Zithunzi zochokera kumasindikizidwe:

Phunziroli linaphatikizapo amuna a 67 ndi matenda a hypersexual ndi 39 omwe ali ndi mphamvu zogwirizana. Ophunzirawo anapeza kuti ali ndi matenda osokoneza bongo komanso ena omwe ali ndi vuto lopweteka kapena kusokonezeka kwa ana. Ofufuzawa anawapatsa mlingo wochepa wa dexamethasone usiku madzulo asanayambe kuyesedwa kuti ateteze kuvutika maganizo kwawo, ndipo m'mawa amayesa kuchuluka kwa mahomoni opweteka a cortisol ndi ACTH. Iwo adapeza kuti odwala omwe ali ndi vuto la hypersexual anali ndi mahomoni apamwamba kuposa machitidwe abwino, kusiyana komwe kunatsalira ngakhale atayesedwa kuti asokonezeke maganizo ndi kusokonezeka kwa ana.

Pulofesa Jokinen anati: "Aberrant akupanikiza malamulo kale anali ataonedwa ndi ovutika maganizo ndi odzipha okha komanso ogwiritsa ntchito mankhwala osokoneza bongo." "M'zaka zaposachedwapa, cholinga chakhalapo kuti ngati kusokonezeka kwa ana kungapangitse kusokonezeka kwa machitidwe opanikizika a thupi kudzera mwa njira zotchedwa epigenetic njira, mwa kuyankhula kwina momwe malo awo amaganizo angakhudzire majini omwe amayendetsa machitidwewa." Malingana ndi ochita kafukufuku, zotsatira zake zimasonyeza kuti njira yomweyi yomwe imakhudzidwa ndi njira ina yothetsera nkhanza ingagwiritsidwe ntchito kwa anthu omwe ali ndi matenda a hypersexual.

17) Kuteteza kwa Prefrontal ndi chizolowezi cha intaneti: njira yophunzitsira ndi kuyang'anitsitsa kafukufuku wamaganizo ndi zokhudzana ndi ubongo (Brand et al., 2015)
[ma circuits osagwira ntchito / oyang'anira osauka ndi kulimbikitsa] - Ndemanga:

Zogwirizana ndi izi, zotsatira za magwiridwe antchito a neuroimaging ndi kafukufuku wina wamaubongo akuwonetsa kuti kuzindikira-kukonzanso, kulakalaka, ndikupanga zisankho ndi malingaliro ofunikira kuti mumvetsetse zosokoneza bongo za pa intaneti. Zotsatira zakuchepetsa kwa oyang'anira zimayenderana ndi zizolowezi zina, monga kutchova njuga kwamatenda. Amanenanso za kutsindika kwa chodabwitsachi ngati chizolowezi, chifukwa palinso zofananira zingapo ndi zomwe zidapezeka pakudalira mankhwala. Komanso, zotsatira za kafukufuku wapano zikufanana ndi zomwe zapezedwa pakufufuza kogwiritsa ntchito mankhwala osokoneza bongo ndikugogomezera kufanana pakati pa chizolowezi chogonana pa cybersex ndi zizolowezi zakumwa kapena zizolowezi zina zamakhalidwe.

18) Kucheza ndi anthu ogonana pa Intaneti pa Intaneti: Adaption of Implicit Association Test ndi zithunzi zolaula (Snagkowski et al., 2015) 
[zolakalaka zazikulu / zolimbikitsa] - Ndemanga:

Kafukufuku waposachedwa akuwonetsa kufanana pakati pa chizolowezi chogonana pa intaneti komanso zosokoneza bongo ndikukangana kuti azigwiritsa ntchito intaneti ngati chizolowezi. Kudalira kwambiri zinthu, mabungwe omwe amadziwika kuti ali ndi gawo lofunikira, ndipo mayanjano abwinowa sanaphunzirepo pazovuta zapa cybersex, mpaka pano. Pakafukufukuyu, amuna 128 amuna kapena akazi okhaokha omwe adatenga nawo gawo adamaliza Implicit Association Test (IAT; Greenwald, McGhee, & Schwartz, 1998) yosinthidwa ndi zithunzi zolaula. Kuphatikiza apo, zovuta pamavuto azakugonana, chidwi chazakugonana, zizolowezi zokhudzana ndi chizolowezi chogonana pa intaneti, komanso kulakalaka kugonja chifukwa chakuwona zithunzi zolaula adayesedwa.

Zotsatira zikuwonetsa kuyanjana pakati pa mgwirizano wazithunzi zolaula zomwe zili ndi malingaliro abwino ndi zizoloŵezi zake zokhudzana ndi zolaula zamtaneti, zovuta pa kugonana, chidwi chogonana komanso chilakolako chogonana. Kuphatikiza apo, kuwunikira kosinthidwa kwakanenedwa kuti anthu omwe ananenetsa zolakalaka zapamwamba ndikuwonetsa kuyanjana ndi zithunzi zolaula zokhala ndi malingaliro abwino, makamaka amakonda kuchita zachiwerewere. Zomwe apezazi zikuwonetsa gawo lomwe lingachitike pakuyanjana kopanda zithunzi zolaula pakukonza ndi kusamalira chizolowezi chogonana. Kuphatikiza apo, zotsatira za kafukufuku wapano ndizofanana ndi zomwe zapezeka kuchokera kuzofufuza zamaudzu amomwe zimakhazikitsidwa ndikugogomezera kuyanjana pakati pazokonda zamtaneti ndi kudalira kwa zinthu kapena zikhalidwe zina.

19) Zizindikiro za kugwiritsira ntchito mankhwala ozunguza bongo angagwirizane ndi onse omwe akuyandikira ndikupewa zolaula: zotsatira za chitsanzo cha analogi ya ogwiritsa ntchito pa Intaneti pa Intaneti (Snagkowski, et al., 2015) 
[zolakalaka zazikulu / zolimbikitsa] - Ndemanga:

Njira zina zimagwirizanitsa ndi zinthu zomwe zimakhala zosiyana ndi zomwe zimachitika kapena kupezeka ndi njira zofunikira. Akatswiri ambiri ofufuza adanena kuti pakakhala chisankho chogwirizana ndi chizoloŵezi chogonjetsa, anthu angasonyeze zizoloŵezi zoyenera kukambirana kapena kupeŵa zosokoneza zokhudzana ndi chiwerewere. Mu phunziro la tsopano la 123 amuna okhaokha amatha kukwaniritsa Njira Yopewera (AAT; Sakanizani ndi Becker, 2007) asinthidwa ndi zithunzi zolaula. Pa otsogolera a AAT amayenera kukakamiza zolaula kapena kuwakopera okha ndi chimwemwe. Kukhalanso ndi chilakolako cha kugonana, khalidwe lachiwerewere, ndi zizoloŵezi zakugonana ndi kugonana ndi azinyalala zinayesedwa ndi mafunso.

Zotsatira zinasonyeza kuti anthu omwe ali ndi zizoloŵezi zakugonana ndi kugonana kwa azimayi amakonda kugwiritsira ntchito kapena kupeŵa zolaula zolaula. Kuwonjezera apo, kufufuza koyendetsa zinthu zolimbitsa thupi kunawonetsa kuti anthu omwe ali ndi chilakolako chachikulu cha kugonana ndi khalidwe loipa la kugonana omwe amasonyeza njira zabwino zopezera / kupeŵa, adawonetsa zizindikiro zapamwamba zokhudzana ndi kugonana kwa pa Intaneti. Malingaliro okhudzana ndi zokhudzana ndi mankhwala, zotsatira zimasonyeza kuti zizoloŵezi zomwe zimayendera komanso kupeŵa zingayambitse kugwiritsira ntchito machitidwe ozunguza bongo. Kuphatikizanso, kugwirizana ndi kukhudzidwa ndi zosangalatsa za kugonana ndi khalidwe loyambitsa chiwerewere kungakhale ndi kuwonjezereka kwa madandaulo omwe ali nawo tsiku ndi tsiku chifukwa cha kugwiritsira ntchito pa Intaneti. Zomwe anapezazi zikupereka umboni wowonjezereka wofanana pakati pa kugwiritsira ntchito machitidwe opatsirana pogonana ndi zokhudzana ndi mankhwala. Kufanana kotereku kungabwererenso kumtundu wina wa maukondwerero omwe amawagwiritsa ntchito pa Intaneti.

[zolakalaka zazikulu / zolimbikitsana ndi oyang'anira osauka] - Ndemanga:

Anthu ena amagwiritsa ntchito zolaula pa Intaneti, monga zolaula, mwauchidakwa, zomwe zimabweretsa mavuto aakulu pamoyo wawo kapena ntchito. Njira imodzi yomwe ingatsogolere ku zotsatira zoipa zingakhale zochepetsedwa kuyang'anira ulamuliro pa kuzindikira ndi khalidwe zomwe zingakhale zofunikira kuti zitheke kusintha pakati pa kugwiritsira ntchito cybersex ndi ntchito zina ndi maudindo a moyo. Kuti tithetse vutoli, tafufuza otsogolera amuna omwe ali ndi 104 ndi maulamuliro akuluakulu omwe akutsogolera maofesi awiri. Mmodzi mwa iwo anali ndi zithunzi za anthu, ndipo ena anali ndi zithunzi zolaula. Zonsezi ziyika zithunzizo kuti zikhale zosiyana malinga ndi zofunikira zina. Cholinga chodziwikiratu chinali kugwira ntchito pazogawa zonse ndi ndalama zofanana, mwa kusintha pakati pa ntchitoyi ndi ntchito yoyenera.

Tinawona kuti ntchito zochepa zochepa pazithunzi zambirizi zimagwirizanitsidwa ndi chizoloŵezi chokwanira kugwiritsira ntchito chiwerewere. Anthu omwe ali ndi chizoloŵezi chimenechi nthawi zambiri amagwiritsidwa ntchito mopitirira muyeso kapena kunyalanyaza kugwira ntchito pa zithunzi zolaula. Zotsatira zikuwonetsa kuti kuchepetsa ulamuliro wotsogolera pa ntchito zambiri, pamene akukumana ndi zolaula, kungayambitse makhalidwe osayenera komanso zotsatira zoipa zomwe zimayambitsa vuto la kugonana ndi azinthu zakugonana. Komabe, anthu omwe ali ndi zizoloŵezi zogonana ndi ogonana amaoneka ngati ali ndi chizoloŵezi chopewa kapena kufotokozera zolaula, monga momwe zanenedwa muzolimbikitsa zowonongeka.

21) Kugulitsa Patapita Mtsogolo Chifukwa cha Zosangalatsa Zamakono: Zithunzi Zolaula Kugwiritsa Ntchito ndi Kutaya Nthawi Yopereka (Negash et al., 2015) 
[oyang'anira osauka: kuyeserera kwa zovuta) - Zolemba:

Phunziro 1: Ophunzira adamaliza zolaula amagwiritsa ntchito mafunso komanso ntchito yochedwetsa ku Time 1 kenako milungu inayi pambuyo pake. Ophunzira omwe akuwonetsa zolaula zolaula zoyambirira adawonetsa kuchotsera kotsika kwambiri pa Time 2, kuwongolera kuchotsera koyambirira. Phunziro 2: Ophunzira omwe adapewa kugwiritsa ntchito zolaula adawonetsa kuchotsera pang'ono kuposa omwe adadya chakudya chomwe amakonda.

Zithunzi zolaula pa intaneti ndi mphoto ya kugonana yomwe imapangitsa kuti kuchepetsa kuchepetsa kusiyana ndi zinthu zina zakuthupi kumachita, ngakhale pamene kugwiritsa ntchito sikumangokakamizika. Kufufuza uku kumapereka chithandizo chofunikira, kusonyeza kuti zotsatira zimapita mopitirira kanthawi kochepa.

Kuonera zithunzi zolaula kungapangitse kugonana mwamsanga koma kungakhale ndi zotsatira zomwe zimakhudza ndi kumakhudza madera ena a moyo wa munthu, makamaka maubwenzi.

Zomwe akupezazi zikusonyeza kuti zolaula pa Intaneti ndi mphotho ya chiwerewere yomwe imapangitsa kuchedwa kuchotsa mosiyana kusiyana ndi mphoto zina zakuthupi. Ndikofunika kwambiri kuti tione zolaula ngati zochititsa chidwi zomwe zimapangitsa kuti tipindule, tipitirize kuphunziranso, komanso kuti tizigwiritsa ntchito mankhwala osokoneza bongo.

22) Kukondweretsa Kugonana ndi Kulimbana Kwambiri Ndikoyenera Kuletsa Kugonana kwa Amuna Kapena Amuna Kapena Akazi Okhaokha (Laier et al., 2015) 
[zolakalaka zazikulu / zolimbikitsa] - Ndemanga:

Zomwe zapezedwa posachedwa zawonetsa kuyanjana pakati pa kuwuma kwa cyberSex Addiction (CA) ndi chizindikiro cha kusangalala kwakugonana, ndikuti kuthana ndi zochitika zogonana kwasokoneza ubale pakati pazosangalatsa zakugonana ndi zizindikiro za CA. Cholinga cha phunziroli chinali kuyesa kuyimira uku ngati anyamata amuna ogonana amuna kapena akazi okhaokha. Mafunso amafufuza zizindikiro za CA, kuzindikira kukhudzidwa ndi kugonana, kugwiritsa ntchito zolaula, zoyambitsa kugonana, zovuta za malingaliro, ndi machitidwe ogonana m'moyo weniweni komanso pa intaneti. Komanso, onse adawonera makanema olaula ndikuwonetsa zodzionetsera kuti azigonana zisanafike komanso pambuyo pa kanema.

Zotsatira zinawonetsa kulumikizana mwamphamvu pakati pa zisonyezo za CA ndi zisonyezo za kusangalatsa kwakugonana ndi chisangalalo chogonana, kuthana ndi machitidwe azakugonana, ndi zizindikiro zamaganizidwe. CA sichinalumikizidwe ndi machitidwe azogonana osagwiritsa ntchito intaneti komanso nthawi yogwiritsa ntchito intaneti. Kuthana ndi machitidwe azakugonana mosiyana gawo pakati pa chisangalalo chogonana ndi CA. Zotsatira zake zikufanana ndi zomwe amuna ndi akazi omwe amachita m'mabanja am'mbuyomu ndipo zimakambidwa motsutsana ndi zomwe ena amaganiza pa CA, zomwe zimawunikira gawo lolimbikitsa ndi losalimbikitsa chifukwa chogwiritsa ntchito cybersex.

23) Udindo wa Neuroinflammation mu Pathophysiology ya Hypersexual Disorder (Jokinen et al., 2016) 
[kusokonezeka kwa kupsinjika kwamitsempha ndi kutupa kwa m'mitsempha] - Kafukufukuyu adanenanso kuchuluka kwa kufalikira kwa Tumor Necrosis Factor (TNF) mwa omwe ali ndi vuto logonana poyerekeza ndi kuwongolera koyenera. Kuchuluka kwa TNF (chizindikiro cha kutupa) kwapezekanso mwa omwe amagwiritsa ntchito mankhwala osokoneza bongo komanso nyama zomwe amakonda kugwiritsa ntchito mankhwala osokoneza bongo (mowa, heroin, meth). Panali kulumikizana kwakukulu pakati pa milingo ya TNF ndi masikelo owerengera oyesa kugonana.

24) Mchitidwe Wogonana Wokakamiza: Prefrontal ndi Limbic Volume ndi Kuyanjana (Schmidt et al., 2016) 
[maseketi osagwira ntchito patsogolo ndikulimbikitsa] - Ili ndi kafukufuku wa fMRI. Poyerekeza ndi zowongolera zathanzi za CSB (zolaula) zidakulitsa kuchuluka kwa amygdala kumanzere ndikuchepetsa kulumikizana kwantchito pakati pa amygdala ndi dorsolateral pre mbeleal cortex DLPFC. Kuchepetsa kulumikizana kwantchito pakati pa amygdala ndi preortalal cortex yolumikizana ndi zosokoneza bongo. Amaganiziridwa kuti kulumikizana kosauka kumachepetsa mphamvu ya preortalal cortex pazomwe wogwiritsa ntchito akuchita zosokoneza.

Kafukufukuyu akuwonetsa kuti kuwopsa kwa mankhwala osokoneza bongo kumatha kubweretsa kuzinthu zochepa ndipo motero kumachepetsa amygdala voliyumu ya omwe amamwa mankhwala osokoneza bongo. Amygdala imagwiranso ntchito nthawi zonse pakuwonera zolaula, makamaka mukamayamba kugonana. Mwina chizolowezi chogonana nthawi zonse komanso kusaka ndi kufunafuna kumabweretsa chidwi pa amygdala mwa ogwiritsa ntchito zolaula. Mwinanso, zaka zolaula komanso zovuta zoyipa ndizovuta kwambiri - ndipo cKusokonezeka maganizo pakati pa anthu ndizogwirizana ndi kuchuluka kwa amygdala volume. Phunzirani #16 pamwambapa anapeza kuti "kugwiritsira ntchito mankhwala osokoneza bongo" amakhala ndi vuto lopanikizika kwambiri. Kodi kupanikizika kosayembekezereka kungagwirizanenso ndi zolaula / kugonana ndi kugonana, komanso zinthu zomwe zimapangitsa kugonana mosiyana, zimayambitsa amygdala volume? Chidule:

Zomwe tapeza pakadali pano zikuwonetsa kuchuluka kwakatundu m'chigawo chomwe chimakhudzidwa ndikulimbikitsana komanso kupumula kwamayiko olumikizana ndi oyang'anira oyang'anira apamwamba. Kusokonekera kwa maukonde otere kumatha kufotokozera zomwe zimachitika pakulandila mphotho zachilengedwe kapena kuyambiranso kuchitapo kanthu pazomwe zingalimbikitse chidwi. Ngakhale zofufuza zathu za volumetric zikusiyana ndi zomwe zili mu SUD, zotsatirazi zitha kuwonetsa kusiyana ngati gawo lazotsatira za mankhwala osokoneza bongo. Maumboni omwe akutulukapo akusonyeza kuti anthu akhoza kuyamba kugwiritsa ntchito mankhwala osokoneza bongo makamaka kuthandizira malingaliro olimbikitsa.

Tawonetsa kuti zochitika muntchito yolimbayi imalimbikitsidwa ndikutsata zomwe zimawoneka bwino kapena zogonana [Brand et al., 2016; Seok ndi Sohn, 2015; Voon et al., 2014] komanso kukhala ndi chidwi chambiri [Mechelmans et al., 2014] ndikukhumba zokhudzana ndi kugonana koma osati chilakolako chogonana chogonana [Brand et al., 2016; Voon et al., 2014]. Kuonjezera chidwi pa zochitika zokhudzana ndi kugonana kumagwirizananso ndi zokonda zokhudzana ndi kugonana kotero zimatsimikizira mgwirizano pakati pa chikhalidwe chogonana ndi chisamaliro [Banca et al., 2016].

Zotsatira za zochitika zolimbikitsidwa zokhudzana ndi zikhalidwe zakugonana zimasiyana ndi zomwe zidachitika (kapena zosakakamizidwa) momwe chizolowezi cholimbikitsira, mwina chogwirizana ndi lingaliro la kulolerana, chimakulitsa kukonda kwa zoyambitsa zogonana [Banca et al., 2016]. Zonsezi zomwe zapeza zikuthandizira kuthetsa vuto la sayansi ya sayansi ya chilengedwe la CSB kutsogolera kumvetsetsa kwambiri za matendawa ndi kuzindikira momwe angathere odwala.

25) Ntchito ya Ventral Striatum Pamene Kuonera Zojambula Zosangalatsa Zithunzi Zili Zogwirizana ndi Zizindikiro za Kuonera Zolaula za pa Intaneti (Brand et al., 2016) 
[cue reactivity / sensitization] - Kafukufuku waku Germany fMRI. Kupeza # 1: Zochita zapakati pa mphotho (ventral striatum) zinali zapamwamba kwambiri pazithunzi zolaula zomwe amakonda. Kupeza # 2: Ventral striatum reactivity yolumikizidwa ndi kuchuluka kwa ogwiritsa ntchito intaneti. Zotsatira zonsezi zikuwonetsa kulimbikitsidwa ndikugwirizana ndi chitsanzo cha mankhwala osokoneza bongo. Olembawo akunena kuti "Neural maziko a zolaula zolaula pa Intaneti zikufanana ndi zoledzeretsa zina." Chidule:

Mtundu wina wa mankhwala osokoneza bongo amachititsa kuti anthu azionera zolaula komanso amaonerera zolaula pa Intaneti. Kafukufuku wa Neuroimaging anapeza zochitika zowonongeka pamene anthu adayang'ana zolaula zakugonana poyerekeza ndi zochitika zogonana zogonana. Ife tsopano tikuganiza kuti ventral striatum iyenera kuyankha pa zolaula zosakondedwa poyerekeza ndi zithunzi zolaula zomwe sizikukondedwa ndi kuti zochitika za ventral striatum mu kusiyana kumeneku ziyenera kugwirizana ndi zizindikiro zowononga zolaula za pa Intaneti. Tinaphunzira ophunzira a 19 amuna amodzi ndi amuna omwe ali ndi chithunzi paradigm kuphatikizapo zithunzi zolaula zomwe sizinafune.

Zithunzi zochokera m'gulu losankhika zinayesedwa ngati zowonjezera, zosasangalatsa, komanso zoyenera. Yankho la Ventral striatum linali lolimba kwa chikhalidwe chochepetsedwa poyerekeza ndi zithunzi zosakondedwa. Ntchito yotchedwa Ventral striatum mu kusiyana kumeneku inagwirizanitsidwa ndi zidziwitso zodzionetsera zolaula za pa Intaneti. Chidziwitso chodzidzimutsa chidziwitso chidali chokhacho chodziwika bwino pakuyesa kutsutsana ndi kuyanjana kwachidziwitso monga zokhudzana ndi zizoloŵezi zowononga zolaula, zachidwi zokhudzana ndi kugonana, khalidwe lachiwerewere, kupsinjika maganizo, kukhudzidwa kwachinsinsi, ndi khalidwe la chiwerewere m'masiku otsiriza monga otsogolera . Zotsatira zimathandizira udindo wa ventral striatum pokonzekera mphotho kuyembekezera ndi kukondweretsa komwe kumagwirizana ndi zofuna zolaula zomwe zimakonda kwambiri. Njira zothandizira mphotho zowonongeka zowonjezereka zingathandize kuti pakhale mafotokozedwe a neural omwe amachititsa kuti anthu ena azikonda komanso kugonana ali pachiopsezo choti asayambe kugwiritsira ntchito zolaula pa Intaneti.

26) Kukonzekera Kowonjezereka ndi Neural Kulumikizana M'maganizo Omwe Ali ndi Magwiridwe Ogonana (Klucken et al., 2016) 
[cue reactivity / sensitization ndi maseketi osagwira bwino] - Kafukufukuyu waku Germany fMRI adafotokozanso zazikulu ziwiri kuchokera Voon et al., 2014 ndi Kuhn & Gallinat 2014. Zotsatira Zazikulu: Ma neural correlates okhutira ndi kulumikizana kwa neural adasinthidwa mgulu la CSB. Malinga ndi ofufuzawo, kusintha koyamba - kukulitsa kutsegulira kwa amygdala - kumatha kuwonetsa kukhazikitsidwa kosavuta ("kulumikizana" kwakukulu pamalingaliro omwe sanalowererepo akuneneratu za zolaula).

Kusintha kwachiwiri -kuchepetsa kulumikizana pakati pa ventral striatum ndi preortal cortex - itha kukhala chodetsa cholephera kuthana ndi zikhumbo. Ofufuzawo anati, "[Zosinthazi] zikugwirizana ndi kafukufuku wina wofufuza zamitsempha yolumikizana ndi zovuta zomwe zimapangitsa kuti munthu akhale ndi vuto losokoneza bongo." Zotsatira zakuthandizira kwakukulu kwa amygdalar ku cues (kulimbikitsa) ndipo adachepetsa kugwirizanitsa pakati pa malo opatsa malipiro ndi prefrontal cortex (chinyengo) ndi ziwiri za ubongo zikuluzikulu zomwe zimawoneka kuti ndizovuta. Kuonjezerapo, 3 ya osuta zolaula za 20 amavutika ndi matenda a "orgasmic-erection".

Mwachidziwitso, ntchitoyi inachulukitsa ntchito ya amygdala ndipo kugwirizanitsa kwa PFC kumaphatikizapo mfundo zokhudzana ndi kugonana ndi matenda a CSB. Anthu omwe ali ndi CSB amawoneka kuti amatha kukhala ndi mayanjano pakati pa machitidwe osalowerera ndale komanso zolimbikitsa zachilengedwe. Choncho, nkhanizi zikukumana ndi zovuta zomwe zimayambitsa khalidwe loyandikira. Kaya izi zikutsogolera CSB kapena zotsatira za CSB ziyenera kuyankhidwa ndi kufufuza kobwerako. Kuonjezerapo, njira zowonongeka za malamulo, zomwe zimasonyezedwa ndi kugwirizanitsa kwazomwe zimakhala zovuta, zimathandizira kukonzanso khalidwe lovuta.

27) Kusagwiritsidwa ntchito mokakamizidwa Kugwiritsa ntchito molakwika kugwiritsa ntchito mankhwala osokoneza bongo komanso osagwiritsa ntchito mankhwala osokoneza bongo (Banca et al., 2016) 
[cue reactivity / sensitization, enhanced response]] - Kafukufukuyu wa Cambridge University fMRI amayerekezera zomwe zimachitika pakumwa mowa mwauchidakwa, anthu omwe amadya kwambiri, omwe amakonda kugwiritsa ntchito makanema komanso osokoneza bongo (CSB). Zolemba:

Mosiyana ndi zovuta zina, CSB poyerekeza ndi HV inasonyeza kupeza mwamsanga kwa zotsatira za mphotho pamodzi ndi chipiriro chachikulu mu chikhalidwe cha mphotho mosasamala za zotsatira. Nkhani za CSB sizinapangitse vuto linalake lokhazikika pa maphunziro osinthika kapena kusintha. Zotsatirazi zikugwirizana ndi zomwe tafufuza kale kuti tipeze zofuna zokhudzana ndi kugonana kapena zotsatira zachuma, zomwe zikusonyeza kuti kulimbikitsidwa kwapindulitsa (Banca et al., 2016). Maphunziro ena pogwiritsa ntchito mphoto zofunikira amasonyezedwa.

28) Kukonda Kwambiri Kuonera Zithunzi Zolaula ndi Kuphunzira Kugwirizana Kulosera Zomwe Zimayendera Kulimbana ndi Kugonana ndi Amuna Kapena Akazi Omwe Amagwiritsira Ntchito Kugonana ndi Anthu Omwe Amagwiritsa Ntchito Intaneti pa Intaneti.Snagkowski et al., 2016) 
[cue reactivity / sensitization, enhanced responseed] - Kafukufuku wapaderayu adakhazikitsa zomwe zimakhalapo kale, zomwe zimaneneratu za zithunzi zolaula. Zolemba:

Palibe mgwirizano wokhudzana ndi njira zogwiritsira ntchito matendawa. Ena amayandikira kufanana ndi zida zogwiritsira ntchito, zomwe zimayambitsa kuphunzira ndizofunika kwambiri. Mu phunziro ili, amuna a 86 amodzi amamaliza kugonana ndi Standard Pavlovian kupita ku Chida Choyendetsa Chosakanizidwa ndi zithunzi zolaula kuti afufuze maphunziro oyanjana pa chiwerewere. Kuonjezerapo, chilakolako chofuna kugonana chifukwa choonerera zithunzi zolaula ndi zizoloŵezi zokhudzana ndi kugonana ndi machitidwe a zogonana ndi azimayi. Zotsatira zinasonyeza zotsatira za chilakolako chofuna kukhala ndi chilakolako chofuna kugwiritsira ntchito chiwerewere, kugwiritsidwa ntchito ndi kuphunzira.

Zambiri, izi zikuwunikira gawo lofunikira pakuphunzitsidwa kophatikizana ndi chizolowezi cha cybersex, pomwe zikuwunikira umboni winanso wamphamvu wofanana pakati pa kudalira mankhwala osokoneza bongo ndi vuto la cybersex. Mwachidule, zotsatira za kafukufuku waposachedwa zikuwonetsa kuti kuphunzira kophatikizana kumatha kutenga gawo lofunikira pokhudzana ndi kukulitsa chizolowezi cha cybersex. Zomwe tapeza zimapereka umboni wina wofanana pakati pa kusuta kwa bongo la cybersex ndi kudalira zinthu chifukwa zomwe zimapangitsa chidwi chofuna kuphunzira komanso kuyanjana ndi maphunziro.

29) Kusintha kwa thupi pambuyo poonera zolaula pa intaneti zikugwirizana ndi zizindikiro za pa Intaneti-zolaula-kuyang'ana matenda (Laier & Mtundu,2016) 
[zolakalaka zazikulu / zolimbikitsa, osakonda kwenikweni] - Zolemba:

Zotsatira zazikulu za kafukufukuyu ndikuti zizolowezi zowonera zolaula pa intaneti (IPD) zimalumikizidwa ndikumverera bwino, kudzuka, kukhazikika komanso kulimba mtima ndikudziwona kupsinjika pamoyo watsiku ndi tsiku komanso chidwi chogwiritsa ntchito zolaula pa intaneti potengera kufunafuna chisangalalo komanso kupewa kukhudzidwa. Kuphatikiza apo, zizolowezi za IPD zinali zokhudzana kwambiri ndi malingaliro asanafike komanso pambuyo poonera zolaula pa intaneti komanso kuwonjezeka kwenikweni kwakhazikika komanso bata.

Chiyanjano pakati pa zizolowezi za IPD ndi chisangalalo chofunafuna chifukwa chogwiritsa ntchito zolaula pa intaneti chidawongoleredwa ndikuwunika kukhutira komwe kumachitika. Kawirikawiri, zotsatira za phunziroli zimagwirizana ndi lingaliro lakuti IPD imagwirizanitsidwa ndi chilimbikitso chofuna kukhutiritsa kugonana ndikupewa kapena kuthana ndi kukhumudwa komanso kuganiza kuti kusintha kosintha pakutsata zolaula kumalumikizidwa ndi IPD (Cooper et al., 1999 ndi Laier ndi Brand, 2014).

30) Achinyamata akuluakulu okhudzana ndi kugonana: Maubwenzi osiyanasiyana osiyanasiyana, omwe amachititsa khalidwe lawo, komanso osadziŵa zamaganizo (2016) 
[otsogolera osauka] - Anthu omwe ali ndi Mavuto Okhudzana ndi Kugonana (PSB) adawonetsa zoperewera zingapo zakuzindikira. Zotsatira izi zikuwonetsa kuti ndi osauka mkulu wogwira ntchito (chinyengo) chimene chiri ubongo wamakono wochitika mumayendedwe osokoneza bongo. Zina mwazidule:

Chinthu chodziwika kwambiri chomwe mwapeza ndikuti PSB ikuwonetsa mayanjano akuluakulu omwe ali ndi zinthu zosafunikira, kuphatikizapo kudzichepetsa, kuchepa kwa moyo, kukwera kwa BMI, ndi kuchuluka kwa chiwerengero cha mavuto ambiri ...

... N'zotheka kuti zigawo zachipatala zotchulidwa mu gulu la PSB kwenikweni zimakhala zotsatira za masukulu akuluakulu omwe amapangitsa onse awiriwa kukhala ndi ziwalo zina zachipatala. Chinthu chimodzi chimene chingathandize kuti ntchitoyi ikhale yochepa kwambiri yomwe ikupezeka mu gulu la PSB, makamaka zomwe zikukhudzana ndi kugwira ntchito, kukumbukira / kuwongolera, komanso kupanga chisankho. Kuchokera ku chiwonetsero ichi, ndizotheka kufufuza mavuto omwe amawoneka mu PSB ndi zina zowonjezereka, monga kusokonezeka maganizo, kuwonongeka kwadzidzidzi ...

Ngati mavuto amalingaliro omwe atchulidwa mu ndondomekoyi ndizofunikira kwambiri za PSB, izi zikhoza kukhala ndi zofunikira kwambiri zachipatala.

[kusokonezeka kwa nkhawa, kusintha kwa epigenetic] - Izi ndizotsatira #16 pamwambapa omwe anapeza kuti kugwiritsira ntchito kugonana kuli ndi mavuto osokoneza bongo - chinthu chachikulu cha neuro-endocrine chosinthika chifukwa cha kuledzera. Kafukufuku wamakono anapeza kusintha kwa epigenetic pazomwe zimayambitsa matenda a anthu komanso kuwonongera kwambiri. Ndi kusintha kwa epigenetic, Mndandanda wa DNA sukusinthika (monga zimachitikira ndi kusintha). M'malomwake, jini ndilo ndipo mawu ake akukwera kapena pansi (kanema yaifupi yomwe ikufotokoza epigenetics). Kusintha kwa epigenetic komwe kunachitika mu phunziro lino kunapangitsa kuti kusintha kwa CRF ntchito. CRF ndi khunyu ndi mahomoni zomwe zimayambitsa makhalidwe oipa monga zokhumba, ndipo ndi mtsogoleri wamkulu mu zizindikiro zambiri za kuchotsedwa zomwe zakhudzana nazo katundu ndi zizoloŵezi zamakhalidwekuphatikizapo zolaula.

[cue reactivity / sensitization, desensitization] - Kafukufukuyu akubwereza zomwe anapeza phunziro la University of 2014 Cambridge, zomwe zikuyerekeza ndi zolaula zowonongeka zowonongeka kuti zitha kulamulira bwino. Pano pali zomwe zatsopano: Phunziroli linagwirizanitsa "zaka za kugonana" ndi 1) zokhudzana ndi chiwerewere komanso 2) zotsatira za ntchito yowonongeka. Pakati pa anthu omwe amakhulupirira kwambiri za kugonana, zaka zowerengeka zokhudzana ndi kugonana zinali zokhudzana ndi chilakolako chachikulu chogonana (ndondomeko yowonongeka).

Kukakamira kwambiri pazaka zogonana + zaka zocheperapo zakugonana = zizindikilo zazikulu zakukonda (chidwi chachikulu, kapena kusokonezedwa). Koma kukondera kumachepa kwambiri mwa ogwiritsa ntchito mokakamiza, ndipo kumasowa pazaka zambiri zakugonana. Olembawo adatsimikiza kuti zotsatirazi zitha kuwonetsa kuti zaka zambiri "zogonana mokakamiza" zimabweretsa chizolowezi chachikulu kapena kufooka kwachisangalalo poyankha (kukhumudwitsa). Chidule cha kumapeto:

Kulongosola komwe kungachitike pazotsatira izi ndikuti pamene munthu yemwe akukakamiza kugonana agwiritse ntchito njira yokakamiza kwambiri, template yokondweretsa yomwe ikugwirizana imayamba [36-38] ndikuti pakapita nthawi, machitidwe owonjezereka amafunikira kuti gawo lomwelo likwaniritsidwe. Amanenanso kuti munthu akamachita zinthu mokakamiza kwambiri, ma neuropathways amakakamizidwa kukhala ndizolimbikitsa kapena zithunzi zokhazika mtima ndipo anthu amatembenukira ku zoyeserera kwambiri kuti akwaniritse zomwe akufuna. Izi zikugwirizana ndi ntchito yowonetsa kuti amuna 'abwinobwino' amakhala ndi zokondweretsa pakapita nthawi ndipo izi zimadziwika ndi mayankho achilendo komanso kusangalatsa [39].

Izi zikusonyeza kuti omwe akukakamiza kwambiri, omwe akuchita zachiwerewere amakhala 'olobodoka' kapena alibe chidwi ndi mawu omwe amagwiritsidwa ntchito pofotokoza za kugonana mwakuthupi ndipo chifukwa cha izi adatsitsa chidwi, pomwe iwo omwe ali ndi kukakamira kwambiri komanso omwe sazindikira zambiri chifukwa zoyambitsidwa zimawonetsa chidwi chodziwikiratu.

33) Ntchito Yogwira Ntchito Yogonana Amuna Kapena Akazi Osagonana Pambuyo Pambuyo Pambuyo Pambuyo Pambuyo pa Kuonera Video Yowonongeka (Messina ndi al., 2017) 
[otsogolera osauka, kulakalaka / kulimbikitsa] - Kuwonetsa zolaula kumakhudza oyang'anira omwe amagwira ntchito mwa amuna omwe ali ndi "chizolowezi chogonana," koma osawongolera bwino. Ogwira ntchito zosauka omwe amagwira ntchito atakumana ndi zovuta zokhudzana ndi zosokoneza bongo ndichizindikiro cha zovuta zamankhwala (zomwe zikuwonetsa zonse ziwiri kusintha maulendo oyendetsa ndi kulimbikitsa). Zolemba:

Zomwe akupezazi zikuwonetseratu kusinthika kwa chidziwitso pambuyo pa kukondana ndi kugonana poyerekeza ndi anthu ogonana nawo. Deta iyi imachirikiza lingaliro lakuti amuna opondereza anzawo sagwiritse ntchito mwayi wophunzira kuchokera ku zochitika, zomwe zingachititse kusintha kusintha kwa khalidwe. Izi zikhoza kumvekanso monga kusowa kwa chidziwitso ndi gulu lochita zachiwerewere pamene adakakamizidwa kugonana, mofanana ndi zomwe zimachitika panthawi ya chiwerewere, zomwe zimayambira ndi kuchuluka kwa kugonana, potsatira chiwonetsero cha kugonana malemba komanso kenako, nthawi zambiri zokhudzana ndi zovuta.

34) Kodi Zithunzi Zolaula Zingakhale Zosintha? Phunziro la FMRI la Amuna Amene Akufuna Chithandizo cha Zolaula Kugwiritsa Ntchito (Gola et al., 2017) 
[cue reactivity / sensitization, enhanced majibu] Zolemba:

Amuna omwe amagwiritsa ntchito zithunzi zolaula (popanda kugwiritsidwa ntchito mosasamala) (PPU) amasiyana mosiyana ndi maonekedwe a ubongo pofuna kutchula zithunzi zolaula, koma osati mmaganizo a zithunzi zolaula okha, mogwirizana ndi chilimbikitso cha zizoloŵezi zoledzeretsa. Kukonzekera kwa ubongo uku kunaphatikizidwa ndi kuwonjezeka kwa khalidwe kuti muwone zithunzi zolaula (zapamwamba 'zofuna'). Vuto loyambanso kugwiritsira ntchito vesili pofuna kufotokozera zithunzi zolimbitsa thupi zinali zofanana kwambiri ndi kuopsa kwa PPU, kuchuluka kwa zolaula zomwe zimagwiritsidwa ntchito pa sabata ndi chiwerengero cha maliseche. Zomwe tapeza zimasonyeza kuti monga kugwiritsa ntchito mankhwala ndi kutchova njuga kumayambitsa njira zodzikakamiza ndi khalidwe labwino zomwe zimagwirizana ndi chidziwitso cha ntchito zomwe zimagwira ntchito zimakhudza zofunika kwambiri ku PPU. Zomwe zapezazi zikusonyeza kuti PPU ikhoza kuwonetsa khalidwe lachiwerewere komanso kuti njira zothandizira kuwongolera khalidwe labwino ndi mankhwala osokoneza bongo zogwirizana ndi kusintha ndi kugwiritsa ntchito kuthandiza amuna omwe ali ndi PPU.

35) Njira Zozindikira ndi Zopanda Kumvetsetsa: Kodi Zimathetsa Nthawi Zambiri Zolaula Gwiritsani Ntchito? (Kunaharan et al., 2017) 
[chizolowezi kapena kukhumudwitsa] - Kafukufuku wowunika mayankho a ogwiritsa ntchito zolaula (kuwerengera kwa EEG & Kuyankha koyambira) kuzithunzi zosiyanasiyana zomwe zimakopa chidwi - kuphatikiza kutulutsa zolaula. Kafukufukuyu adapeza kusiyana kwamitsempha pakati pa ogwiritsa ntchito zolaula pafupipafupi komanso ogwiritsa ntchito zolaula pafupipafupi. Zolemba:

Zakafukufuku zikusonyeza kuti ntchito yowonongeka yowonongeka ikuwoneka kukhala ndi mphamvu pa ubongo wosadziŵa mayankho ku zokopa zomwe zimapangitsa kuti zisamasonyezedwe ndi kudziwonetsera koyera.

4.1. Mafotokozedwe Owonetsa: Zokondweretsa, gulu lalikulu logwiritsira ntchito zolaula limaonetsa zithunzi zolaula ngati zosasangalatsa kuposa gulu logwiritsira ntchito. Olembawo amati izi zikhoza kukhala chifukwa cha chikhalidwe cha "zithunzi zolaula" zomwe zili m'mabuku a IAPS osapereka momwe angafunire, monga momwe adawonetseredwa ndi Harper ndi Hodgins [58] kuti ndikuwonera zolaula pafupipafupi, anthu ambiri nthawi zambiri amakwera ndikuwonera zinthu zowonjezereka kuti akhale olimba mofananamo.

Gulu la "lokondweretsa" lidawona kuti magulu onse atatuwo ali ofanana ndipo gulu lalikulu limagwiritsa ntchito zithunzizo kukhala zosasangalatsa pang'ono kuposa magulu ena. Izi zitha kuchitika chifukwa cha zithunzi "zabwino" zomwe zawonetsedwa kuti sizikulimbikitsa anthu omwe ali mgululi. Kafukufuku wasonyeza pafupipafupi kudzikongoletsa kwakuthupi pakukonzekera kukhutira kwamtundu chifukwa cha zochitika zokhala mwa anthu omwe amakonda kudziwa zolaula [378]. Ndizogwirizana ndi olemba kuti zotsatirazi zikhoza kuwerengera zotsatira zomwe zachitika.

4.3. Sewerola la Reflective Reflex (SRM): Chiwerengero chokwanira cha amplitude startle effect chikuwonetsedwa m'magulu otsika ndi osakaniza omwe akugwiritsidwa ntchito magulu angagwiritsidwe ntchito ndi omwe ali mu gulu mwachindunji kupeŵa kugwiritsa ntchito zolaula, chifukwa angaone kuti ndi zosasangalatsa. Zotsatira zake zowonjezera, zotsatira zomwe zatulukanso zingakhale chifukwa cha chizoloŵezi, zomwe anthu m'magulu awa amawonera zolaula kuposa momwe adazifotokozera-mwina chifukwa cha manyazi pakati pa ena, monga momwe zizoloŵezi zimasonyezera kuwonjezera mayendedwe a maso osokoneza maganizo [4142].

36) Kuwonetsera Kulimbikitsa Kugonana Kumapangitsa Kulipira Kwambiri Kwambiri Kuwonjezeka Kwambiri mu Kugonjetsedwa Kwachinyengo pakati pa Amuna (Cheng & Chiou, 2017) 
[wogwira ntchito wosauka kwambiri, wofuna kuchita zinthu mopupuluma] - M'maphunziro awiri omwe akuwonetsedwa pazokambirana zakugonana zidapangitsa kuti: 1) kuchotsera kwakukulu (kulephera kukhutiritsa), 2) chidwi chachikulu chakuchita zachiwerewere, 3) chidwi chachikulu kugula zinthu zabodza ndikubera akaunti ya Facebook ya wina. Kuphatikizidwa pamodzi izi zikuwonetsa kuti kugwiritsira ntchito zolaula kumawonjezera kukhudzika ndipo kumatha kuchepetsa ntchito zina zazikulu (kudziletsa, kuweruza, kuwoneratu zotsatira zake, kudziletsa). Chidule:

Nthawi zambiri anthu amakumana ndi zolaula pa Intaneti. Kafukufuku wasonyeza kuti kukakamiza kugonjetsa kugonana kungachititse kuti munthu asamangokhalira kuchita chidwi ndi amuna, monga momwe amachitira poyerekeza ndi nthawi yambiri (mwachitsanzo, chizoloŵezi chofuna kuchepa, kuchepa msanga kwa anthu akuluakulu, amtsogolo).

Pomalizira, zotsatira zamakono zimasonyeza kusonkhana pakati pa zolaula (mwachitsanzo, kuwonetsa zithunzi za akazi okongola kapena zovala zowononga zakugonana) ndi kuchitapo kanthu kwa amuna pa zolakwika za cyber. Zomwe tapeza zimasonyeza kuti kusayirira ndi kudziletsa kwa amuna, monga kuwonetseredwa ndi kuchotsera nthawi, kumakhala kolephera kuthetsa chilakolako chogonana. Amuna angapindule ndi kuwunika ngati zochitika zokhudzana ndi kugonana zimakhudzana ndi zosankha zawo ndi khalidwe lawo loipa. Zomwe tapeza zimasonyeza kuti kukomana ndi kugonana kungayesetse amuna pamsewu wa kuphulika kwa cyber

Zotsatira zamakono zikusonyeza kuti kupezeka kwapamwamba kwa zolaula pa Intaneti kungakhale koyenderana kwambiri ndi khalidwe lachinyengo la amuna kuposa momwe timaganizira poyamba.

37) Zotsatila za (Zosokoneza) Kugwiritsa ntchito Intaneti Kugonana mwachangu: Udindo wa khalidwe lolimbikitsa kugonana ndi njira yeniyeni Zomwe zimayendera pazogonana (Stark et al., 2017) 
[cue reactivity / sensitization / cravings] - Zolemba:

Kafukufuku wamakono akufufuzira ngati zofuna zogonana ndi zofuna zokhudzana ndi kugonana ndizo zowonongeka za mavuto omwe SEM amagwiritsa ntchito komanso nthawi yomwe amagwiritsa ntchito kuyang'ana SEM. Poyesera, tinagwiritsa Ntchito Njira Yopewera (AAT) pofuna kuyesa njira zogonana zogonana. Kulumikizana bwino pakati pa njira yoyenera yowonekera ku SEM komanso nthawi yomwe yakhala ikuwonetsetsa SEM ikhoza kufotokozedwa ndi zotsatira zake: Njira yodalirika yowonjezereka ingathe kutanthauzidwa ngati chisamaliro choyang'ana kwa SEM. Nkhani yomwe ili ndi chidwi chenicheni ichi ikhoza kukopeka kwambiri ndi kugonana pa intaneti yomwe imakhala ndi nthawi yochuluka yogwiritsidwa ntchito pa malo a SEM.

38) Kuonera Zolaula Zowonongeka Zochokera ku Neurophysiological Computational Approach (2018) 

Chidule:

Papepala lino, njira yogwiritsira ntchito chizindikiro cha ubongo kuchokera kumbali yomwe ikugwiritsidwa ntchito pogwiritsa ntchito EEG ikufunsidwa kuti muwone ngati wophunzirayo akhoza kukhala ndi zizolowezi zolaula kapena ayi. Zimakhala ngati njira yowonjezera ya mafunso ovomerezeka a maganizo. Zotsatira zowonetsera zimasonyeza kuti anthu omwe ali ndi vutoli amakhala ndi mafilimu otsika a alpha m'madera ozungulira ubongo poyerekeza ndi osagwiritsidwa ntchito. Zitha kuwonetsedwa pogwiritsira ntchito mphamvu zamagetsi pogwiritsa ntchito Low Resolution Electromagnetic Tomography (LORETA). Bungwe la theta likuwonetsanso kuti pali kusiyana pakati pa addicted and non-addicted. Komabe, kusiyana kuli kosaoneka ngati alpha band.

39) Kusokonekera kwa zinthu zazikulu ndikusintha kugwirizana kwa boma mu grey yapamwamba pakati pa anthu omwe ali ndi vuto lachiwerewere (2018) 
[kuchepa kwa vuto la imvi mu kotekisi yanthawi yayitali, kulumikizana kochita bwino pakati pa temportex ndi precuneus & caudate] - Kafukufuku wa fMRI poyerekeza kuyerekezera mosamala omwe ali ndi chizolowezi chogonana ("zovuta zokhudzana ndi chiwerewere") pamitu yoyendetsa bwino. Poyerekeza ndi owongolera omwe ali ndi chizolowezi chogonana anali ndi: 1) adachepetsa imvi m'masamba akanthawi kochepa (zigawo zomwe zimakhudzana ndi zoletsa zogonana); 2) yochepetsera precuneus ku temporortortal yolumikizira yolumikizira (itha kuwonetsa zachilendo pakutha kusintha chidwi); 3) kuchepetsedwa kwa caudate mpaka temporortort yolumikizana yolumikizira (kungalepheretse kuwongolera kwapamwamba pazoyenda). Zolemba:

Zomwe zapezazi zikusonyeza kuti zolakwika zowonongeka pakati pa gyrus ndi nthawi yothandizira pakati pa gyrus ndi madera ena enieni (ie, precuneus ndi caudate) zingapangitse kukhumudwa ku chiwonongeko cha kugonana kwa anthu omwe ali ndi PHB. Choncho, zotsatirazi zikusonyeza kuti kusintha kwa kayendedwe ka kayendedwe ka gyrus kungakhale mbali zina za PHB ndipo zikhoza kukhala zotsatiridwa ndi matenda a PHB.

Kukula kwakukulu kofunikira mu taniyoni yoyenera ndi kuwonjezereka kwa matayala a mbali ya kumanzere ndi STG yakumanzere anawonedwanso .... Choncho, nkotheka kuti kuwonjezeka kwa imvi nkhani ndi kuyanjana kwa ntchito mu cerebellum kumagwirizanitsidwa ndi chizoloŵezi cha anthu omwe ali ndi PHB.

Mwachidule, VBM yamakono ndi phunziro loyanjanitsa ntchito likuwonetsa zofooka zazikulu ndikusintha kagwiridwe ka ntchito mu grey ya pakati pa anthu omwe ali ndi PHB. Chofunika kwambiri, kugwirizanitsa ndi kugwirizanitsa ntchito kunali kosiyana kwambiri ndi kulemera kwa PHB. Zotsatirazi zimapereka ndondomeko yatsopano mu njira zowonongeka za mpweya wa PHB.

40) Zizolowezi zoonera zolaula-kugwiritsa ntchito vuto: Zosiyana ndi amuna ndi akazi zokhudzana ndi zolaula (2018) 
[cue reactivity / sensitization, zolimbikitsa zolakalaka]. Zolemba

Olemba angapo amaganiza kuti zolaula-paintaneti-kugwiritsa ntchito vuto (IPD) ndi vuto losokoneza bongo. Imodzi mwa njira zomwe zaphunziridwa mwakhama pazovuta zamagulu osokoneza bongo komanso zosagwiritsa ntchito mankhwala ndizomwe zimapangitsa chidwi chazinthu zokhudzana ndi zosokoneza bongo. Zosokoneza chidwi zimafotokozedwa ngati njira zakuzindikira zamaganizidwe amunthu zomwe zimakhudzidwa ndi zomwe zimachitika chifukwa cha chizolowezi chazomwe zimachitika. Zimaganiziridwa mu mtundu wa I-PACE kuti mwa anthu omwe amatha kukhala ndi zizindikiritso za IPD kuzindikira konse komanso kuzindikira-kuyambiranso ndikukhumba kumawuka ndikuwonjezeka pakukonda. Kuti tifufuze zomwe zimapangitsa chidwi cha IPD, tidasanthula zitsanzo za amuna ndi akazi a 174.

Kukonda chidwi kunayesedwa ndi Visual Probe Task, pomwe ophunzirawo amayenera kuchitapo kanthu pamivi yomwe imawonekera pambuyo pazithunzi zolaula kapena zosalowerera ndale. Kuphatikiza apo, ophunzirawo adayenera kuwonetsa kukondweretsedwa kwawo ndi zithunzi zolaula. Kuphatikiza apo, zizolowezi za IPD zimayezedwa pogwiritsa ntchito Short-Internetsex Addiction Test. Zotsatira za phunziroli zidawonetsa ubale pakati pa kukondera komanso chidwi cha chizindikiritso cha IPD pang'ono cholumikizidwa ndi zizindikiritso za cue-reactivity ndikulakalaka. Ngakhale amuna ndi akazi nthawi zambiri amasiyana munthawi zomwe amachita chifukwa cha zithunzi zolaula, kuwunika koyeserera kunawonetsa kuti kusilira kumachitika mosagwirizana ndi zikhalidwe za IPD. Zotsatirazo zimathandizira malingaliro amalingaliro amtundu wa I-PACE wokhudzana ndi chidwi chazomwe zimachitika zokhudzana ndi zosokoneza bongo ndipo zimagwirizana ndi kafukufuku wothana ndi kuyambiranso ndi kulakalaka zovuta zamagwiritsidwe ntchito kazinthu.

Phunziro limodzi la maopaleshoniwa linapezedwa:

  1. Ubongo waukulu wa 3 woledzera umasintha: kulimbikitsakuchotsa chilakolakondipo chinyengo.
  2. Zithunzi zolaula zimagwirizanitsidwa ndi zosauka mu deraal striatum).
  3. Kuwonjezeka kwa zolaula kumagwirizanitsidwa ndi mphotho yocheperako poyang'anira poyang'ana mwachidule zithunzi zachiwerewere.
  4. Zithunzi zolaula zimagwirizanitsidwa ndi kusokoneza maukwati a neural pakati pa mphotho ya mphoto ndi makina operekera.
  5. Addicts anali ndi ntchito yoyenera kugonana, koma zochepetsetsa ubongo kuti zikhale zovuta (zimayenderana ndi mankhwala osokoneza bongo).
  6. Kugwiritsa ntchito zithunzi zolaula kumayesetseratu kuchepetsa kuchepetsa (kusatheka kuchepetsa kukondweretsa). Ichi ndi chizindikiro cha ntchito yogwira ntchito yosauka.
  7. 60% ya zolaula zomwe zidawasokoneza mu kafukufuku wina adakumana ndi ED kapena otsika kwambiri ndi anzawo, koma osati ndi zolaula: onse adanena kuti kugwiritsa ntchito zolaula pa intaneti kumayambitsa ED / low libido.
  8. Kupititsa patsogolo chisokonezo yofanana ndi ogwiritsa ntchito mankhwala osokoneza bongo. Amasonyeza kutengeka (mankhwala a DeltaFosb).
  9. Kufuna kwambiri & kulakalaka zolaula, koma osakukondani kwambiri. Izi zikugwirizana ndi mtundu wovomerezeka wa chizolowezi - kulimbikitsana.
  10. Zizoloŵezi zoipa zimakonda kwambiri zachiwerewere koma ubongo wawo umakhala mofulumira kwa zithunzi zachiwerewere. Osatipo kale.
  11. Achinyamata omwe amagwiritsa ntchito zolaula amachitanso chidwi kwambiri ndi zomwe zimachitika m'zipatala.
  12. EEG yapamwamba (P300) imawerengedwa pamene ogwiritsira ntchito zolaula amadziwika ndi zolaula (zomwe zimachitika mu zovuta zina).
  13. Zopanda zofuna kugonana ndi munthu amene akugwirizana ndi chidziwitso chochuluka-kukwaniritsa zolaula.
  14. Zithunzi zolaula zimagwirizanitsidwa ndi maulamuliro apansi a LPP pakuwona mwachidule zithunzi za kugonana: zikuwonetsa chizoloŵezi kapena chilakolako chofuna kugonana.
  15. Majekesi osayenerera a HPA komanso kusintha maulendo a ubongo, omwe amapezeka m'zoledzeretsa za mankhwala osokoneza bongo (komanso amygdala voliyumu, yomwe imakhudzidwa ndi vuto lachikhalidwe).
  16. Kusintha kwa Epigenetic pazomwe zimapangitsa kuti munthu asamapanikizidwe komanso kuwonongeke kwambiri.
  17. Maseŵera apamwamba a Matenda a Necrosis Factor (TNF) - omwe amapezeranso mankhwala osokoneza bongo komanso oledzeretsa.
  18. Chosowa mu nkhani yamtundu wakuda; kuyanjana kosauka pakati pa mgwirizano wa nthawi ndi zigawo zina zambiri
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